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Intense fighting a serious challenge for patients, MSF staff in Helmand

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Médecins Sans Frontières reported Tuesday that while fighting has been intense since May in Helmand province, clashes between the Afghan security forces and the Taliban have intensified in recent weeks and spread to more urban areas such as the provincial capital of Lashkargah city.

“There has been relentless gunfire, airstrikes and mortars in densely populated areas. Houses are being bombed, and many people are suffering severe injuries,” says Sarah Leahy, coordinator of the MSF Helmand project.

“Fighting within the city makes it harder for us to respond; our staff are part of the community and they, like many people, are afraid to leave their homes. It’s just far too dangerous and life is at a standstill,” says Leahy.

“Some of our colleagues are staying overnight in the hospital as it’s safer, but also so they can keep on treating patients. The situation has been dire for months but now it is even worse.”

Despite the challenges, the MSF-supported Boost hospital remains operational and has seen a marked increase in trauma needs over the past week.

“In just one day we performed 10 surgeries on people injured by violence, which is unheard of for us as we are not Lashkargah’s main provider of trauma care,” says Leahy. “Before last week we were operating on average on two war-wounded people per day.”

The main trauma centre in the city is run by another organisation, and is also under immense pressure; the people they cannot admit are sent to MSF for care, the statement read.

Between 29 and 31 July alone, MSF treated 70 war-wounded patients. In total from 3 May until 31 July, we have treated 482 war-wounded people, nearly all (92 per cent) for injuries caused by shells and bullets, and around a quarter (26 per cent) aged under 18. The patients seen by MSF are just a fraction of the total number injured by the violence, the organization reported.

MSF also said the conflict is stopping people from seeking medical attention when ill.

“The conflict leads people to think 10 times about whether they really want to make the journey. They delay until they can’t wait anymore, when their relatives haven’t opened their eyes for two or three days, have shallow breathing and are unresponsive. From a medical perspective, that’s almost too late.”

Even amongst MSF staff, the impact of the fighting is clearly visible. “Healthcare staff are exhausted. The work itself, seeing all these patients, is hugely difficult. And then on top of that, people have to deal a lot with outside pressures and worries,” says an MSF doctor.

Our teams continue to provide much-needed healthcare in Boost hospital, while continuing to run projects in four other locations around the country; Herat, Kandahar, Khost and Kunduz.

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Russia calls for broad engagement with Afghan authorities

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Russia has urged the international community to adopt a comprehensive and non-politicized approach toward Afghanistan, emphasizing dialogue, regional cooperation, and practical support to stabilize the country and prevent further security deterioration.

Speaking at a recent UN Security Council meeting, Russia’s Permanent Representative, Vassily Nebenzia, said that contrary to Western predictions following the withdrawal of foreign troops, Afghanistan did not collapse. He argued that despite ongoing sanctions, Afghan authorities are making efforts to address long-standing challenges and pursue regional cooperation aimed at building a self-reliant state, though he acknowledged the process would take time and require international support.

Nebenzia said Russia continues to back the UN Assistance Mission in Afghanistan (UNAMA) and supports initiatives such as the Doha Process, which promotes engagement with the Islamic Emirate and Afghanistan’s gradual reintegration into global affairs. He stressed that constructive dialogue with the Afghan authorities is essential and warned against what he described as pressure, ultimatums, or sanctions-driven approaches, saying these could harden positions and undermine UN efforts on the ground.

The Russian envoy said regional players, including members of the Shanghai Cooperation Organization (SCO) and the Collective Security Treaty Organization (CSTO), share the view that engagement is the only viable path forward.

He also called for progress on unfreezing Afghan assets and expanding development assistance, warning that failure to do so could lead to a further drawdown of the UN presence in the country.

On security, Nebenzia expressed concern about ongoing terrorist threats, particularly from Islamic State Khorasan Province (ISKP), also known as Daesh, noting that the group continues to receive external funding and recruit foreign fighters, including individuals with combat experience from Syria and Iraq.

He also raised alarm over uncertainty surrounding weapons left behind by NATO forces and warned of the growing production of synthetic drugs, which he said is closely linked to terrorism.

Nebenzia said Russia supports dialogue between Afghanistan and Pakistan amid rising tensions linked to militant activity, urging both sides to expand cooperation, especially on counterterrorism.

He also highlighted the worsening socio-economic situation in Afghanistan and praised humanitarian agencies for continuing their work despite funding cuts. Russia, he said, remains engaged in providing assistance and expanding cooperation with Afghanistan in political, security, and economic fields.

The Russian envoy reiterated Moscow’s support for the rights of all Afghans and the formation of an inclusive government, calling for respect for fundamental freedoms, including access to education and employment, without discrimination.

Nebenzia concluded by urging the UN to engage with Afghanistan’s “real authorities” to help resolve the country’s challenges and support its reintegration into the international community.

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Afghanistan’s public health minister begins official visit to India

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Afghanistan’s Minister of Public Health, Noor Jalal Jalali, has embarked on an official visit to India at the invitation of the Indian government, leading a delegation from the ministry.

In a statement, the Ministry of Public Health said the visit is aimed at strengthening health cooperation between the two countries, promoting the exchange of expertise, and coordinating joint health programs.

During the trip, Jalali is expected to hold meetings with Indian officials, particularly those from the health sector, and take part in a series of pre-arranged engagements.

Discussions will focus on capacity building for Afghan health workers, the import of standard medicines to Afghanistan, access to medical equipment, and other areas of cooperation.

The ministry said the visit is intended to open a new chapter in health collaboration between Afghanistan and India, with a focus on improving healthcare services and professional development.

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IEA supreme leader stresses enforcement of Sharia law and sincere public service

Hamdullah Fitrat said Akhundzada delivered the remarks during a three-day reform seminar held in Kandahar, attended by officials from various ministries and government institutions.

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The Supreme Leader of the Islamic Emirate of Afghanistan (IEA), Hibatullah Akhundzada, has emphasized the need for strict implementation of Sharia law and the need for sincere public service by government officials, according to a statement from the group’s deputy spokesperson.

Hamdullah Fitrat said Akhundzada delivered the remarks during a three-day reform seminar held in Kandahar, attended by officials from various ministries and government institutions.

During his address, the IEA leader stressed that the laws of the Islamic Emirate are derived from Islamic teachings and are not based on the views or opinions of a limited number of individuals. He underscored that all state affairs must be conducted in accordance with Sharia principles to strengthen the governing system.

Fitrat added that Akhundzada also highlighted the responsibility of the government to protect the rights of vulnerable groups, including orphans, widows, people with disabilities, the poor, migrants, and prisoners. He described providing services and education for these groups as a core duty of the state.

The IEA leader further urged officials to serve the public with sincerity, compassion, and integrity, calling on them to pay close attention to the needs and concerns of the population and to carry out their duties in line with Islamic law.

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